Individual
CHERYL LYNETTE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 W AVENUE J, MULESHOE, TX 79347-4424
(806) 272-7578
Mailing address
510 COUNTY ROAD 193, MULESHOE, TX 79347-6288
(806) 946-9555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2128405
TX
225200000X
Physical Therapy Assistant
PTA1454
NM
Other
Enumeration date
01/21/2018
Last updated
01/21/2018
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